1987, 10-16 Permit: 87003494 MH SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
I NORTH 811 JEFFERSON
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. In
addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with same. All provisions of laws and
ordinances governing this type of work will be complied with whether specified herein or not.I understand that the issuance of this permit and any subsequent inspection
approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating construction,or as a
warranty of conformance with theprovisionsof any state or local laws regulating construction. �t
SIGNATURE OF �`� APPLICATION __
._���
OWNER OR AGENT DATE
PROJECT NUMBER= 87003494 DATE-:. 10/16/87 PAGE= O i
ISSUED PERMIT
:atx *u*x>>:••x•************ai*•u**x• PERMIT INFORMATION **** 3 ******* **************
SITE STREET=:: 17410 E 6TH AVE PARCEL-O= 19552-1920
ADDRESS= GREE.NACRE:S WA 99016
PERMIT USE:: : DOUBLE WIDE MOBILE HOME—REPLACEMENT
PLAT•0-:: 000078 PLAT NAME= APPLE VALLEY ESTATES 2ND ADD.
.tL-OC.K:::: 4 LOT= 20 ZONE= RIMH Dl )T u"= tr
AREA= 00000000 F/A= F WIDTH:::: 65 DEPTH= 142 R/W::= 50
OF BL.DGS:- 2 t DIAIE::L..I...INGS=
OWNER BRI•r•rON, ARTHUR E PHONE= 509 226 1139
STREET-•: 2.524 E MORRIS RD
ADDRESS= NEWMAN LAKE WA 99025
CONTACT NAME= OWNER PHONE NUMBE:R= 509 226 1139
BUILDING SETBACKS : FRONT::- 30 LEFT= RIGHT:::: 6 REAR::.
•ye)i** xu...•ux•x•> •....•h.•n••r:x•. ***xtt•** MOBILE HOME PERMIT **************************
CONTRACTOR:::: OWNER PHONE::::
YR/MAKE= 79 EATON PARK MODEL-:: 40 rry
J,ERIAL..'If"' WIDTH= ?4 LENGTH= HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
INSPECTION FEE 2 100.00
BUILDING SURCHARGE. Y 3.50
***•x..x•x....•x•tt*•tt.*..x•ae*.f*..•uxxxxfF PAYMENT SUMMARY *****•**]Q•***#**x*lE*x***ii •*•)tk*
PAYMENT DATE: RECEIPTO PAYMENT AMOUNT
10/16/87 4257 103.50
TOTAL DUE= .00 TOTAL.. PAID::. .103.50
PERMIT TYPE FEE:: AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME: PMT 103.50 103..50 ..00
103.50 .103.50 .00
PROCESSED BY : MASCAR:DO, GODOLFIN
PRINTED BY : MASCARDO, GODOL..FIN
#****R****•K•****•H ****•riktt b ttx k* THANK YOU *•x*•uxze*x•x•ttxx•x•**•tt•ttxxxx•xa x•****•x•*•x•x•tt